Can people with endometriosis, fibroids, or adenomyosis use hormone therapy?

Great news—here at Alloy, people with endometriosis, fibroids, or adenomyosis can absolutely use menopausal hormone therapy (MHT). These conditions are not contraindications for hormone therapy, and many people are wrongly told otherwise.

Here’s a quick summary of what our experts say:

Endometriosis: You can use hormone therapy. If you still have a uterus, both estrogen and progesterone are typically prescribed. If you’ve had surgery for endometriosis, especially if it was extensive, starting with a lower dose of estrogen is reasonable, and sometimes progesterone is recommended even if you no longer have a uterus. This helps counterbalance any possible stimulation of remaining endometriosis tissue.
Fibroids: Having fibroids is not a reason to avoid hormone therapy. The estrogen levels in MHT will not make your fibroids grow.
Adenomyosis: Similarly, a history of adenomyosis does not prevent you from using hormone therapy. MHT will not cause adenomyosis to worsen or grow.

For more details and to hear directly from Dr. Corinne Menn, check out these helpful video chapters:

If you’re interested in learning more about our hormone therapy options, visit our Hormone Therapy Solutions page to see the different formulations available at Alloy.

We’re here to support you with evidence-based care and personalized treatment plans!

This answer was created using the following resources: